| Family Health Center Of Joshua Tree Incorporated | |
|
63532 29 Palms Hwy Ste C Joshua Tree CA 92252-0810 | |
| (760) 366-7555 | |
| (760) 366-0529 |
| Full Name | Family Health Center Of Joshua Tree Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 63532 29 Palms Hwy, Joshua Tree, California |
| Authorized Official Name and Position | Andre Martin Kasko (PRESIDENT) |
| Authorized Official Contact | 7603667555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Joshua Tree Incorporated Po Box 1220 Joshua Tree CA 92252-0810 Ph: (760) 366-7555 | Family Health Center Of Joshua Tree Incorporated 63532 29 Palms Hwy Ste C Joshua Tree CA 92252-0810 Ph: (760) 366-7555 |
| NPI Number | 1255511630 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 0648346007 |
|---|---|
| Medicare Enrollment ID | O20080909000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255511630 | NPI | - | NPPES |
| 200A6300 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6300 (California) | Primary |
White Feather Physicians Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6601 White Feather Rd, Joshua Tree, CA 92252 Phone: 760-366-3711 | |
Desert Group Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 White Feather Rd, Joshua Tree, CA 92252 Phone: 706-366-1500 |